Habibi Flashcards
Albumin
Most abundant plasma protein. Large, so it stays in the circulation. Nonspecific carrier molecule that can protect molecules from degradation from being bound to albumin.
Globulins
second most abundant plasma protein. specific molecule carrier (forms specific conformation) Incl: enzymes, immunoglobulins, specific carrier proteins)
Fibrinogen
plasma protein. Is involved in blood coagulation. Gets converted into fibrin by activity of thrombin.
colloid osmotic pressure
is the osmotic pressure caused my protein presence. Increases when protein increases. This is higher in the plasma due to the greater abundance of proteins and therefore, the net movement is into the interstitial compartment . 0.3 mm Hg outward force twd IC.
What is the interstitial compartment composed of?
Collagen fibers, proteoglycans that give a gel like medium to the compartment (hyaluronic acid +protein). Only about 1% of the compartment is made of free-fluid,
Edema
Swelling of the interstitial compartment . Too much free fluid in the IC. May result from changes in osmotic pressure.
What does the gel medium in the interstitial compartment ensure?
- the uniform distribution of nutrients regardless of body position - not affected by gravity.
- maintains optimal spacing between cells
- mechanical support and giving shape to body parts
Lymphatic system
Transfers fluid from IC into the veins. Has phagocytic cells within (in lymph nodes) that help to filter foreign substances out of the blood. Lymph nodes have resident macrophages
Elephantiasis
Occurs due a blockage(filarial worms introduced by mosquitos) in the lymphatic system. Causes an increase in pressure and fluid build up in the interstitial compartment. Swelling and major accumulations of fluid. This can also lead to necrosis of cells due to the decreased flow of nutrients and gases.
Granulocytes
Include basophils, neutrophils and eosinophils which are all also leukocytes. Granulocytes are derived from myeloid stem cells. Polymorphonuclear cells
Erythropoietin
Stimulates differentiation from myeloid stem cells into proerythroblasts
thrombopoietin
stimulates differentiation from myeloid stem cells into megakaryocytes
granulocyte-monocyte colony stimulating factor
stimulate differentiation from myeloid stem cells into monocytes and granulocytes.
monocytes
Are a type of leukocyte that is myeloid stem cell derived. They can later differentiate into macrophages or dendritic cells.
What are the stem cells and intermediate cells involved in the production of erythrocytes?
Myeloid stem cells, proerythroblasts, basophil erythroblast, polychromatophil erythroblast, orthochromatic erythroblast, reticulocyte erythrocyte.
What is hemoglobin A made up of?
4 Heme groups with their corresponding globin peptide. Hemoglobin A has 2 alpha and 2 beta subunits. This is the most abundant type of adult Hb
What forms a heme molecule?
4 pyrroles form 1 protoporphyrin. Iron plus protoporphyrin forms one heme molecule.
What is fetal hemoglobin and what makes it different from adult hemoglobin?
Fetal hemoglobin has 2 alpha and 2 gamma hemoglobin subunits. Fetal Hb has a greater binding affinity for oxygen and can carry 20-30% more oxygen. It is also at 50% higher concentration in fetal blood compared to adult Hb in adult blood
Megoblastic anemia
vitamin b12 and follic acid deficiency - lead to diminished DNA synthesis (which is important for red blood cell production) - causes red blood cells that are bigger than normal (become too big and burst)
Pernicious anemia
similar to megoblastic anemia - absorption of vitamin b12 is impaired in the Gi tract due to an intrinsic factor
Ferritin
storage area and buffer for iron concentrations in the body. It prevents transient anemia by releasing iron into the body when needed.
transferrin
Transferrin is a beta-globulin plasma protein that binds to iron to transport it to the bone marrow for hemoglobin production. Transferrin-iron complex binds to specific receptors on the erythroblasts in the bone marrow followed by endocytosis and delivery of iron to mitochondria for the synthesis of heme.
Platelets
Broken of pieces of megakaryocytes, which are myeloid stem cell derived. Platelets do not have a nucleus but they do have some organelles.
Platelets contain:
- glycoprotein surface receptors that mediate intracellular processes and secretion of various compounds
- calcium
- thromboxane A2
- fibrin stabilizing factor
- growth factors
thromboxane A2
An eicosanoid produced from platelets when activated to do so. Mediates vasoconstriction and local myogenic spasms upon blood vessel damage to reduce local blood flow and prevent blood loss.
Also activates other platelet cells to aggregate
platelet acivation
Platelets are activated by collagen - activation causes the platelets to produce thromboxane a2 and ADP
cyclooxygenase ll
COX ll - enzyme that converts arachidonic acid into thromboxane A2 - becomes active during platelet activation as thromboxane a2 mediates trauma response. Cox ll can be inhibited by aspirin/endomethacin
fibrin stabilizing factor
Produced by activated platelets. It is activated by thrombin. It functions to help form the meshwork of the fibrin threads during clot formation.
thrombin
a proteolytic enzyme which converts fibrinogen to fibrin monomers which can form the fibrin threads. Thrombin also activates fibrin stabilizing factor
prothrombin
factor ll - an alpha globulin produced in the liver due to the action of vitamin K
- it’s proteolytic product is thrombin
prothrombin activator
catalyzes the reaction of prothrombin to thrombin Upon tissue trauma - a number of clotting factors mediate the production of prothrombin activator.
Factor lll
tissue thromboplastin - initiates the extrinsic pathway. It is released from the tissue following tissue trauma. Shorter in terms of clot formation
Factor Xll
Hagemen factor. Upon activation, mediates the intrinsic pathway of blood coagulation.
Factor Vlll
antihemophylic factor - If this is missing, in a male, the male will have hemophilia A - This factor is needed to help activate Factor X. W/o it - clot has a hard time forming - bleeding disease